Minority Children Research Articles

ПРО ПОЧАТКОВУ ОСВІТУ НАЦІОНАЛЬНИХ МЕНШИН ЗАКАРПАТТЯ: ІСТОРИКО-ПЕДАГОГІЧНИЙ КОНТЕКСТ

The article analyzes the historical and pedagogical retrospective of the primary education of national minorities in Transcarpathia in the XX-th century. The process of formation and development of primary education for the national minorities of Transcarpathia in the XX-th century is substantiated as consequential changes in its organization and content of activities determined by the state-territorial subordination of the region. Purpose: analysis of the peculiarities of education of national minorities in primary schools of Transcarpathia in the historical and pedagogical context of the XX-th century. Methods: content analysis of historical, historical-pedagogical, archival and reference sources on the researched problem; a problem-chronological method for studying the dynamics of the influence of educational processes and ensuring the right of national minorities to education in primary schools in Transcarpathian. Results & Conclusions: It was established that at each historical stage of the state-territorial re-subordination of the Transcarpathian lands, the educational policy regarding the education of children representing national minorities who lived in the territory of Transcarpathia changed. During the Austro-Hungarian period at the beginning of the XX-th century, the education of children representing national minorities (the Ruthenians-Ukrainians, Slovaks, Roma, Romanians) was significantly reduced due to the adoption of Law XXVII (in 1907), which regulated the issue of education in all educational institutions in the state (Hungarian) language. The Czechoslovak period was marked by a liberal attitude towards representatives of the local population due to the provision of education in primary schools in the native language of representatives of national minorities (the Ruthenians-Ukrainians, Hungarians, Romanians, Germans). Moreover, during this period, the first primary school for Roma children was opened in Eastern Europe, but education was conducted in the Slovak language. Later, during the Hungarian return during the events of World War II, the Ruthenians-Ukrainians, Germans, Romanians and Slovaks had the opportunity to study in schools in their native language. The beginning of the Soviet period in Transcarpathia was characterized by mass ethnic cleansing of the Hungarians, Germans, the assignment of the Romanians to Moldovan nationality, etc., which was accompanied by the mass closing of schools for children of national minorities, and later, under the motto of international education, the opening of schools with bilingual education (for Hungarian and Romanian children). The period of independence of Ukraine at the end of the XX-th century opened opportunities for providing primary education for representatives of all national minorities who live compactly on the territory of Transcarpathia. Key words: primary education, national minorities, primary schools for children of the Ruthenians-Ukrainians, Hungarians, Romanians, Slovaks, Germans, Roma, Transcarpathia.

Teachers’ perceptions about digital storytelling and its pedagogical usage. The improvement of minority children’s classroom engagement

ABSTRACT The study examines teachers’ perceptions about digital storytelling (DST) and why they are reluctant to use it as an instructional tool, despite its effectiveness for student learning. Additionally, it answers the question: What are the effective pedagogical practices for implementing digital storytelling by kindergarten teachers? Twelve participants were interviewed to explain the results of a questionnaire completed by 42 participants. The mixed method data analysis identified effective pedagogical practices that impact children's skills and responsibilities, as well as the engagement of minority children. This research is expected to provide valuable insights for educational practice.

Investigating the determinants of fear of cancer recurrence in patients with early‐stage non‐small cell lung cancer: Insights from a restricted cubic spline model

AbstractObjectiveThis study aims to investigate the determinants and the dose–response relationship of fear of cancer recurrence among patients with early‐stage non‐small cell lung cancer (NSCLC), aiming to inform prevention and intervention strategies.MethodsEmploying a cross‐sectional design, we analyzed data from 677 postoperative NSCLC patients who received treatment at National Cancer Center between January 2022 and August 2023. Data collection involved a general demographic survey, the Fear of Progression Questionnaire‐Short Form, Hope Herth Index, and Social Support Rating Scale. We employed logistic regression and restricted cubic spline models to identify factors influencing fear of recurrence (FCR).ResultsUnivariate regression analysis identified female gender and having minor children as significant risk factors, while being older than 60, a higher income, and elevated levels of hope and social support emerged as protective factors. Multivariate logistic regression revealed age (OR = 0.392, 95% CI 0.205–0.750), monthly income (OR = 0.016, 95% CI 0.315–0.886), hope level (OR = 0.305, 95% CI 0.187–0.496), and social support (OR = 0.584, 95% CI 0.375–0.908) as independent influencers of recurrence fear. The restricted cubic spline model indicated a nonlinear impact of hope and social support on this fear.ConclusionAnalysis using the restricted cubic spline model underscores the influence of age, income, hope, and social support on FCR, with a nonlinear dose–response relationship evident between hope, social support, and fear. Prioritizing the enhancement of social support before increasing hope levels can rapidly and effectively alleviate FCR.

Integration of child life into adult oncology: A mixed-methods feasibility study.

Cancer in a loved one can have negative effects on child health and development. Child Life Specialists (CLSs) specialize in assisting children understand and cope with difficult medical scenarios but are generally not available in adult care facilities to support the needs of patient-families with minor children. We conducted a mixed-methods study of the implementation of a pilot CLS program at a tertiary oncology centre. We collected administrative and clinical data on referred families; encounter data; and patient-reported questionnaire data before and 2months after engagement with the program. Over the initial 10months, 98 families were referred, 91 of whom engaged through a total of 257 clinical encounters. The cancer patient in the family was most commonly a woman with a mean age of 45years and in the role of mother. Breast cancer was the most common diagnosis (24%) and 78% of patients had stage IV disease. Most families had >1 child at home, and children were most commonly school-aged (5-14y). Phone and Hospital/Clinic visits accounted for the largest portion of CLS time. Interventions ranged from diagnosis education through to bereavement support. Most cancer patients indicated that the program was helpful to them and their families. There were trends of moderate improvements on patient reported outcomes. Our study was able to provide an understanding of the initial CLS program operations to guide program development and future study. Such a program holds promise as an important aspect of adult oncology family-centered care.

Ethical Dilemmas and Countertransference in Legally Mandated Reporting of Fatal Child Neglect.

In the fall of 2019, a much-publicized court case brought to national attention the issues of patient-doctor confidentiality when it comes to reporting the deaths of newborns in the United States. It is unclear whether the recent overturning of Roe v. Wade will lead to more cases like this. This article discusses issues of countertransference, as well as the ethical and legal implications were it to be a psychiatrist, in active treatment of such a patient, who would be required to make such a report. More specifically, as in the publicized court case, the patient could be a minor at the time, receiving treatment from a child psychiatrist. The implications of such a case include how countertransference affects the perception of fatal child neglect compared to intentional neonaticide; the ethical dilemma of generating a mandated report with the goal of child safety when such a report could lead to real legal consequences for a minor child; and considerations regarding continued treatment of a patient after such a report is made. It is likely that countertransference, shaped by attitudes toward mothers and idealized views on mothering, may play a large role in all these circumstances.

LEGISLATIVE GAPS IN THE COLLECTION OF ALIMONY FOR MINOR CHILDREN

Protection of the rights and interests of the most vulnerable alimony recipients - minor children, is one of the most socially significant areas of family law regulation. The basic guarantees of the rights and legitimate interests of the child depend on the correctness of the normative fixation of the provisions on alimony and the quality of the mechanisms of its collection. The absence today of legal certainty in a number of provisions of alimony legislation on the forced collection of alimony, confirms the relevance of this study. Objective: to study the peculiarities of modern Russian legal regulation of judicial recovery of alimony for minor children, to identify the problems of legal regulation and to formulate specific proposals to change the legislation. Methodological basis: in the preparation of the research the general scientific dialectical method and special methods were used: system-structural, formal-legal, logical and comparative-legal. Results: the article comprehensively analyzes the shortcomings of legal technique and peculiarities of the current legislation concerning legal regulation in the field of alimony legal relations and forms proposals for their legislative elimination. The author sees that, despite the high prevalence of proceedings of a writ nature in cases of alimony collection, potentially higher efficiency of alimony payment belongs to the voluntary alimony agreement. Conclusions: the current state of legal regulation of the institute of alimony of minors, including the shortcomings of substantive and procedural nature, is characterized by imperfection and inefficiency of a number of normative provisions of the Family Code of the Russian Federation, which in turn may affect the stability and efficiency of court decisions, orders and needs to be reformed.

Introduction to the First Issue of 2024

Dear Readers,We proudly present the First Issue of the International Journal of Law in Changing World -IJLCW. We are delighted that this Issue is an example of international knowledge exchange. Authors worldwide presented their papers on current legal problems in Egypt, Indonesia, Hungary,and India. Our authors gave the Journal the honor of publishing highly relevant research papers devoted to different aspects of law and regulations that the modern world faces. This Issue presents the paper "Issues in Terms of Employment and Social Security in the Mirror of Industry 4.0". Professor Gabor Mélypataki (Hungary) explores the influence of digitalization and industry 4.0 on the employment and social security.The following paper is entitled "A Multi-Dimensional Approach to Impose Universal Jurisdiction in International Legal Practice" by Abdalla Abdelkarim (Egypt). Considering the international legal practice, author provides insights into the use of multi-dimensional approach to impose universal jurisdiction."Exploring The Essence of Indonesian Securities-Based Crowdfunding" by Nanin Koeswidi Astuti, Suhariningsih, Sukarmi, Siti Hamidah (Indonesia) devoted to identifying the peculiarities and legal nature of Securities-Based Crowdfunding in Indonesia.The paper "Legislative Gaps In The Collection Of Alimony For Minor Children" by Alexander Viktorovich Markovsky (Russia) refers to the legal and other issues related to collection of alimony for minor children. "Legal Protection for User Students e-Money as aNon-Cash Payment Tool In The Islamic Boarding School Environment" by Moh. Wahyu Al Waris, Dominikus Rato, Muarafa Nur Afif studies issues and peculiarities of protection of electronic money of the students in Islamic countries. The paper "Integration of the crisis rules created by COVID 19 into the European Common Agricultural Policy and Hungarian agricultural legislation" by István Olajos and Szilárd Pálfai (Hungary) aims to demonstrate how crisis rules caused by pandemic were integrated to agrarian law of Hungary.The Journal also contains the paper "Goodbye to Afghans: What is the Promise of Human Rights to Human RightslessnessAfghan Migrants in Pakistan?" written by Sayed Qudrat Hashimy (India), which analyses the situation in Afghanistan in the context of human rights. We truly hope you will find this Issue valuable and informative because that is the mission of the Journal –to find solutions to crucial legal issues that arise from the forever-changing world.We want to thank our authors, reviewers and editorial team members for their excellent job, support, and efforts to make the Second Issue possible. We hope the Journal can inspire academics and researchers to keep expanding their horizons and reducing the research distance between countries.Sincerely yoursEditors-in-Chief Elizaveta Gromova and Daniel Brantes Ferreira

Increasing Reading Motivation and Vocabulary of South Asian Children in Hong Kong: A Home–Based Intervention

ABSTRACT Research Findings: This study investigated the effectiveness of a home-based intervention in increasing the intrinsic reading motivation and Chinese oral vocabulary of minority South Asian children in Hong Kong. A quasi-experiment was conducted with 78 children (M age = 51.54 months; control: 37 children, intervention: 41 children) and their parents. Intrinsic reading motivation was measured by parent report and oral vocabulary was measured by child direct assessment. The intervention group received picture books, prerecorded stories, and guidance on carrying out home activities over four weeks. The control group received two wordless picture books. After controlling for sociodemographic factors, Multivariate Analysis of Covariance revealed a significant Group X Time interaction. Follow-up tests revealed that children in the intervention group scored higher in posttest intrinsic reading motivation and oral vocabulary than children in the control group. Practice or Policy: These findings support the development of evidence-based interventions to cater for Chinese language learning of South Asian children in Hong Kong and have the potential to inform the design of future intervention programs that aim to enhance the Chinese language proficiency of minority children in Hong Kong and other settings where Chinese is used as a second language.

Food insecurity and childhood outcomes: a cross-sectional analysis of 2016-2020 National Survey of Children's Health data.

Racial inequalities across social determinants of health (SDOHs) are often influenced by discriminatory policies that reinforce systems that further uphold these disparities. There is limited data describing the influence of food insecurity (FI) on childhood racial discrimination. Our objective was to determine if the likelihood of experiencing racial discrimination was exacerbated by FI. We conducted a cross-sectional analysis of the 2016-2020 National Survey of Children's Health (NSCH) to extract data on childhood racial discrimination and food security. We extracted sociodemographic variables to utilize as controls and constructed logistic regression models to determine associations, via odds ratios (ORs), between food security and whether the child experienced racial discrimination. We found statistically significant associations between experiencing FI and childhood racial discrimination. Individuals who experienced food shortages were significantly more likely to experience racial discrimination compared to those without food limitations when controlling for race, food voucher usage, age, and % federal poverty guidelines (FPG, adjusted odds ratio [AOR]: 3.34; 95 % CI: 2.69-4.14). Our study found that parents of minority children all reported high rates of racial discrimination, which was exacerbated by concurrent FI. Children of families that were the most food insecure reported the highest percentage of racial discrimination at 11.13 %, compared with children who always had enough nutritious meals to eat at 2.87 %. Acknowledging the intersection that exists between FI, race, gender, and socioeconomic status (SES), might be a way forward in addressing the adverse health effects experienced by food-insecure children and adults.

Tanodás és nem tanodás gyerekek szociális kompetenciáinak összevetése kérdőíves, megfigyeléses és narratív módszertannal

In school settings, there are often not enough opportunities to develop children's social competencies besides developing their cognitive abilities. But there is a need for this kind of support, especially in disadvantaged areas and for minority children. Study-hall programs function to compensate for this deficiency. We compared matched groups of primary school pupils in two municipalities in the Northern part of Hungary. One group participated in a study hall program, while the other did not. We measured social competencies. Impulsivity and aggression were measured with questionnaires, while communication and future vision were approached qualitatively. Children attending Study-hall programs like to go there, and most of them listed playing activities among the best programs. Our results show that children from the study hall program have better communication skills and a more realistic vision of the future, and based on their self-report, they feel more like they belong to the majority society than their peers from the school without a study hall program. We conclude that study halls can mitigate disadvantages coming from low socio-economic status.

Help-Seeking Among Children Impacted by Commercial Sexual Exploitation: A Scoping Review.

This scoping review aims to summarize current research on help-seeking behaviors and patterns among children who have experienced commercial sexual exploitation of children (CSEC) victimization and/or are at high risk of exploitation. Because the literature on help-seeking specific to CSEC victimization is limited, the current review was expanded to summarize findings from help-seeking research for children who have experienced harms that often co-occur with CSEC, such as maltreatment and homelessness. The authors searched three large article databases (PsycInfo, Ovid MEDLINE, and Web of Science) for articles that were (a) empirical; (b) measured or used the term "help-seeking" in their framing and/or results; (c) included children between the ages of 12 and 18; (d) primarily focused on children from the United States; (e) published in English. Ultimately, 22 articles met all inclusion criteria and were included in the final review. Results suggest that cisgender white females are the most likely to seek help, followed by sexual and gender minority children. Cisgender male children were the least likely to engage in help-seeking behaviors. Universally, children were more likely to engage in informal help-seeking rather than formal help-seeking, with younger children being more likely to reach out to parents and older children more likely to reach out to friends. Importantly, ethnically diverse children were under-represented, leading to limited information about how and why these children seek help. Implications for help-seeking by children impacted by commercial sexual exploitation are discussed, providing guidance for programming and research related to CSEC prevention.

Research on Divorce Cooling-off Period System in China

Along with the economic prosperity of the 21st century, there is also a progressive concept of marriage. In the pursuit of "new Under the marriage freedom of the era, whether the quality of their own marriage life has become the most important for economically independent couples Heavy place. However, recent years, economic development, social change, and the change of people's ideology, the number of divorce in our country has been increasing, the divorce rate has gradually gone higher, people's confidence in marriage has also decreased. In order to reduce the divorce rate, reduce the phenomenon of impulsive divorce, and maintain family harmony and social stability, China has stipulated a cooling-off period system for divorce. The divorce cooling-off period system is a new system in our country, which has played positive functions in many aspects. However, the system still has some shortcomings, such as the divorce cooling-off period personal safety protection, property protection and the protection of the rights and interests of minor children, etc. Then the necessary in-depth analysis is carried out and more perfect suggestions are put forward to make the system to assume its social and legal functions.

Communicating the diagnosis of a hematological neoplastic disease to patients' minor children: a multicenter prospective study.

When a hematological malignancy is diagnosed, the whole family carries the burden of the disease; parents often try to protect minor children from suffering by avoiding communication about their disease. Since 2009, patients with minors at the Adult Hematology Division at San Gerardo Hospital (Monza) can take part in the "Emanuela Project": children can visit parents and talk with psychologists and hematologists, who explain the disease through simple metaphors. The EMY STUDY aimed to evaluate the impact of illness-related communication on children's behavior, comparing Monza's experience with other Hematology Units, where the communication is delegated to parents or psychological support. Questionnaires exploring the children's main behaviors (school performance, appetite, sleeping patterns, attachment to family figures, and family dialogue) were administered to both sick (SP) and healthy (HP) parents. From 2017 to 2021, 32 patients were enrolled, 20 from Monza and 12 from other hospitals; 84 questionnaires were globally collected. In Monza's group, no major changes in children's behavior were observed and an open dialogue about the disease was often possible. Disease communication is considered crucial and perceived as a responsibility of parents together with a professional figure, mainly the hematologist. Patients were satisfied with "Emanuela Project," reporting positive effects on doctor-patient relationship. Difficulties in separation were significantly higher at other hospitals (P = .019) than in Monza. While at other centers communication is considered parents' responsibility, Monza's patients emphasize the role of professional figures (P = .007). Differently from other hospitals, the role of the hematologist is crucial to Monza's patients (P = .001). Disease communication to patients' offspring is a crucial moment in the process of care, and the hematologist can play a major role in this difficult task, with potential positive effects both on children's well-being and on doctor-patient relationship.

Identifying developmental language disorder (DLD) in multilingual children: A case study tutorial

Purpose A long-standing issue in identifying developmental language disorder (DLD) in multilingual children is differentiating between effects of language experience and genuine impairment when clinicians often lack suitable norm-referenced assessments. In this tutorial we demonstrate, via a case study, that it is feasible to identify DLD in a multilingual child using the CATALISE diagnostic criteria, Language Impairment Testing in Multilingual Settings (LITMUS) assessment tools, and telepractice. Method This tutorial features a case study of one 6-year-old Urdu-Cantonese multilingual ethnic minority child, and seven age- and grade-matched multilinguals. They were tested via Zoom using Urdu versions of the Multilingual Assessment Instrument for Narratives (LITMUS-MAIN), the Crosslinguistic Lexical Task (LITMUS-CLT), the Crosslinguistic Nonword Repetition Test (LITMUS-CL-NWR), and the Sentence Repetition Task (LITMUS-SRep). Result The child scored significantly lower in the LITMUS tests compared to her peers in her best/first language of Urdu. Together with the presence of negative functional impact and poor prognostic features, and absence of associated biomedical conditions, the findings suggest this participant could be identified as having DLD using the CATALISE diagnostic criteria. Conclusion The result demonstrates the promise of this approach to collect reference data and identify DLD in multilingual children. The online LITMUS battery has the potential to support identification of multilingual DLD in any target language.

Problems and Improvement of The Guardianship Supervision System for Minors in the Civil Code

In recent year, the issue of supervision of minor guardianship has gradually become a hot topic of discussion. To a large extent, it is related to the frequent occurrence of cases of children's injuries due to the negligence of the guardians of minors in fulfilling their guardianship duties. At present, China has established a guardianship system which is mainly based on family guardianship and supplemented by state guardianship. However, this is only the relevant provisions of the juvenile guardianship system, and the system of juvenile guardianship supervision is still scattered in the Law on the Protection of Minors, the Civil Code, and the Law on Combating Domestic Violence, etc., which is most obviously manifested in the generality and limitations of the provisions of the juvenile guardianship supervision system, and the limitations of the scope of the adjustments have led to the passivity of the minors in safeguarding their rights. Modern society advocates "children's rights-based", under this trend, the custody of minor children will not only the family within the matter, but also should be included in the adjustment of society and the state, with the help of their power to safeguard the legitimate rights and interests of minors. In this paper, we will start from the existing system of supervision of minors' guardianship in China, discuss the lack of supervision system of minors' guardianship, and put forward some suggestions for improvement.

COVID-19 and Family Visits: A Systematic Jurisdiction Analysis of Family Visitation and Safety Policies in Juvenile Correctional Facilities in the United States

When COVID-19 first hit the United States, juvenile correctional facilities across the country discontinued all in-person activities including family visits. Correctional facilities across the country were among the last institutions to reopen their doors for in-person activities given the heightened risk of rapid spread. Drawing on data gathered in February and March 2022, this study examined the state of family visitation policies and COVID-19 safety responses adopted by juvenile correctional facilities, as reported on websites, including information on the different types of contact allowed; COVID-19 safety protocols and practices; availability of information on COVID-19 infection and vaccination rates; and the overall timeliness, consistency, and comprehensiveness of the information available to families with incarcerated minor children. Our findings highlight just how untimely, inconsistent, and incomprehensive information and policies were across jurisdictions, sometimes with little to no stated explanation for their decision-making. We argue that juvenile correctional facilities should take a family-focused approach when developing and disseminating policies that impact the lives of incarcerated youth and their families, especially in times of global uncertainty.

The curator as a protective participant of the minor in contentious divorce proceedings

In Ecuador, within a contentious divorce judicial process, in accordance with the criteria of the National Court of Justice and with the same adjective norm, the situation of minor children, born within the marriage, must be resolved in a mandatory manner. which is to be dissolved. In this sense, Ecuadorian legislation has determined that, in judicial processes that address the interests and rights of children and adolescents, it is fundamental and necessary that a curator ad litem be appointed, so that he is the one who watches over their rights. The appointment of a curator ad litem has been specifically considered in resolution No. 10-2016 of the National Court of Justice, which even regulates the procedure to be followed for their correct appointment, since within the adjective regulations they do not there is a specific and clear budget regarding the subject. However, the fundamental presupposition that must exist is that the rights of children and adolescents cannot be violated and within the judicial processes that the interests of this social group are ventilated, it is necessary to guarantee their rights. Through the present investigation, the importance of the figure of the curator ad litem will be determined, within the judicial processes of divorce on grounds. For which a qualitative methodology has been used, and the use of different methods of this, such as the synthetic analytical method and the deductive method, for when the intrinsic characteristics of the research problem were analyzed, analyzing causes and effects, to from a general premise, one will arrive at particular premises.

The Existence of Non Muslim Minority in Aceh, Indonesia: A Study Civil and Police Institution

The implementation of Islamic law in Aceh had impact for the existence of non-Muslim minority groups. Even though they are guaranteed freedom to worship, harmony and protected, and can live side by side with the Aceh society, on the other hand, they are also feeling the impact of sharia. These implications are experienced by Christian women, not only among civil groups, but also police institutions. This article aims to complement the shortcomings of previous research, by mapping the relationships that existed between Muslim and non-Muslim groups in Aceh during the implementation of Islamic sharia. The research question is, how do these implications occur and why public space is limited for them. This research was conducted in Banda Aceh involving six informants and some were women, civil society groups and several police institutions, namely three Christian policewomen, through in-depth interviews and using several references related to the research subject. The results of the study indicated that, first, there are social spaces that have an impact on non-Muslim groups because they live in areas of Islamic sharia that require them to receive these regulations, such as the obligation to wear the veil for students, teachers and policewomen in police agencies. Then, there are limited facilities for worship, including for policewomen to provide spiritual guidance. Apart from that, there is little access to public space in government, which occurs among non-Muslim minority children who would like to develop their talents, as well as employees and in police agencies who could not develop their careers perfectly. This happens because they cannot have opportunities like the people of Aceh who are the "hosts". In this case, the government must be able to harmonize laws, including for minority groups in Aceh. It is hoped that the results of this research could adding references regarding the importance of increasing awareness and fostering the values of tolerance.

Minors’ and guardian access to and use of a national patient portal: A retrospective comparative case study of Sweden and Finland

BackgroundApproaches to implementing online record access (ORA) via patient portals for minors and guardians vary internationally, as more countries continue to develop patient-accessible electronic health records (PAEHR) systems. Evidence of ORA usage and country-specific practices to allow or block minors’ and guardians’ access to minors’ records during adolescence (i.e. access control practices) may provide a broader understanding of possible approaches and their implications for minors' confidentiality and guardian support. AimTo describe and compare minors’ and guardian proxy users’ PAEHR usage in Sweden and Finland. Furthermore, to investigate the use of country-specific access control practices. MethodsA retrospective, observational case study was conducted. Data were collected from PAEHR administration services in Sweden and Finland and proportional use was calculated based on population statistics. Descriptive statistics were used to analyze the results. ResultsIn both Sweden and Finland, the proportion of adolescents accessing their PAEHR increased from younger to older age-groups reaching the proportion of 59.9 % in Sweden and 84.8 % in Finland in the age-group of 17-year-olds. The PAEHR access gap during early adolescence in Sweden may explain the lower proportion of users among those who enter adulthood. Around half of guardians in Finland accessed their minor children’s records in 2022 (46.1 %), while Swedish guardian use was the highest in 2022 for newborn children (41.8 %), and decreased thereafter. Few, mainly guardians, applied for extended access in Sweden. In Finland, where a case-by-case approach to access control relies on healthcare professionals' (HCPs) consideration of a minor’s maturity, 95.8 % of minors chose to disclose prescription information to their guardians. ConclusionWhile age-based access control practices can hamper ORA for minors and guardians, case-by-case approach requires HCP resources and careful guidance to ensure equality between patients. Guardians primarily access minors’ records during early childhood and adolescents show willingness to share their PAEHR with parents.

Doctoral Student Parents During the COVID-19 Pandemic: How Did They Fare?

The challenges faced by parenting during doctoral education are widely acknowledged. When the COVID-19 pandemic struck universities in the United States in March 2020, doctoral student parents, like other working parents, faced the new challenge of managing workloads without access to childcare, schools, or other supports for balancing work and family opportunities. And yet, many parents persevered through these seemingly impossible circumstances. This paper describes a survey of doctoral students (N = 483) about the ways in which the first 18 months of the pandemic impacted their academic work and professional development opportunities, identifying the institutional supports available to them during this time. Differences between parents of dependent minor children and non-parents were explored, with no differences found except in dissertation delays, where non-parenting students were more likely to experience delays. Further, many students did not have access to supports and fewer used them, although parents were more likely to access supports than non-parents. Implications for understanding the impact on doctoral education are identified and discussed, including the need to reconsider parenting as a barrier to academic success in doctoral education.